| NPI | 1265500888 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0210X Pediatrics, Pediatric Nephrology (Licence: TN 50583) |
| Additional Taxonomies | 2080P0210X Pediatrics, Pediatric Nephrology (Licence: OH 35.056297) |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2018-04-16 |